Regionalizing Healthcare in Alberta: Legislated Change, Uncertainty and Loose Coupling |
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Authors: | C R Hinings Ann Casebeer Trish Reay Karen Golden-Biddle Amy Pablo Royston Greenwood |
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Institution: | University of Alberta Edmonton, Alberta, Canada;University of Calgary, Alberta and;University of Calgary, Alberta, Canada |
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Abstract: | In this paper,we examine the re-organizing attempts of the Alberta government in healthcare from the viewpoint of uncertainty,loose coupling and the frequently unrecognized consequences of such change.We suggest that our understanding of change processes can be enhanced by conceptualizing the impact of task and environmental uncertainty through the nature of coupling between organizational elements.Based on our .ndings,we propose that the greater the degree of loose coupling in an organization,the more di .cult change is likely to be,and the more likely the occurrence of unanticipated consequences. |
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